Potential Drugs, Blood Clotting, Vaccine Protection, Fast RTPCR in Coronavirus

 

Identifying potential targets for drugs that could work against all corona viruses

The possible emergence of vaccine- resistant SARS-CoV-2 variants, as well as novel corona viruses, makes it important to find treatments that work against all corona viruses. Now, researchers have analysed viral proteins across 27 coronavirus species and thousands of samples from Covid-19 patients, identifying highly conserved sequences that could make the best drug targets.

 

Drugs often bind inside “pockets” on proteins that hold the drug snugly, causing it to interfere with the protein's function. 3cientists can identify potential drug-binding pockets from the 3D structures of viral proteins. Over time, however, viruses can mutate their protein pockets so that drugs no longer fit. But some drug-binding pockets are so essential to the protein's function that they can't be mutated, and these sequences are generally conserved overtime in the same virus, and in related viruses.

 

The researchers wanted to find the most highly conserved drug binding pockets in viral proteins from covid-19 patient samples and from other corona viruses, revealing the most promising targets for pan coronavirus drugs.

 

The team used a computer algorithm to identify drug binding pockets in the 3D structures of 15 3AR3-CoV-2 proteins. The researchers then found corresponding proteins in 27 coronavirus species and compared their sequences in the drug binding pockets.

 

The two most conserved“ drug gable” sites involved proteins(callednsp13 andnsp12 respectively) that are involved in viral RNA replication and transcription. The researchers said novel antiviral drugs targeting the catalytic site of the protein nsp12 are currently in phase II and III clinical trials for Covid- 19, and that the RNA binding site of nsp13 is a previously underexplored target that should be a high priority for drug development.

 

Test predicts who is likely to be infected with severe Covid

Researchers have developed a blood test to predict which people infected with Covid-19 are most likely to experience serious symptoms, which could help health care workers prioritise patients for hospitalisation and intensive care. To measure changes in blood biochemistry that occur with severe Covid-19,the researchers chose a technique called attenuated total reflectance Fourier transform infrared spectroscopy (AYR-FYIR),which has been tested previously as a Covid-19 di-agnostic tool.

 

Two regions of FYIR spectra from 128 patient plasma samples showed small but observable differences between those with severe and non-severe Covid-19. Using these data together with clinical information about patients, the researchers developed a statistical model to predict Covid-19 severity.

 

They found that the best predictor was whether the patient had diabetes, followed by the two regions in the FYIR spectra. Adding the FYIR data to the model improved the sensitivity for detecting severe disease in a different set of 30 patients from 41.2 % to 94.1%, it reduced the specificity from 84.6 % to 69.2 %, compared with the clinical factors alone. This means that the new test was more likely to identify severe cases, but it also had a higher rate of false positives.

 

Blood clotting may be root cause of long Covid: study

 

A new study has reported evidence that patients with long Covid syndrome continue to have higher measures of blood clotting. The authors say this may help explain their persistent symptoms, such as reduced fitness and fatigue. The study, led by researchers from Ireland.

 

In long Covid syndrome, symptoms can last weeks to months after the initial infection has resolved an misestimates to affect millions of people worldwide. The researchers examined 50 patients with symptoms of long Covid syndrome to better understand if abnormal blood clotting is involved. They discovered that clotting markers were significantly elevated in the blood of patients with long Covid syndrome compared with healthy controls These clotting markers were higher in patients who required hospitalisation with their initial Covid- 19 infection, but they also found that even those who were able to manage their illness at home still had persistently high clotting markers.

   NIH scientists develop faster Covid-lt test than RT-PCR

 

Science at the US National Institutes of Health (NIH) have developed a new sample preparation method to detect SARS-CoV-2.The method by passes extraction of the virus' genetic RNA material, potentially reducing test time and cost.

 

The method is the result of a collaboration among researchers at the US. Standard tests involve amplifying viral RNA to detectable levels using a technique called RT- qPCR. But first, the RNA must be extracted from the sample. Manufacturers of RNA extraction kits have had difficulty keeping up with demand during the pandemic.

 

The researchers used an agent made by the lab supply company Bio-Rad called’ Chelex 100 resin' to pre-serve SARS-CoV-2 RNA in samples for detection by RT-qPCR. We used nasopharyngeal and saliva samples with various virion concentrations to evaluate whether they could be used for direct RNA detection. The answer was yes, with markedly high sensitivity .Also, this preparation  inactivated the virus, making it safer for lab personnel to handle positive samples.

 

The team made their discovery by testing a variety of chemicals using synthetic and human samples to identify those that could preserve the RNA in samples with minimal degradation while allowing direct detection of the virus by RT-qPCR.

 

To validate the test, they collected patient samples and stored them in either viral transport media, or the newly developed chelating- resin buffer at the NIH Symptomatic Testing Facility. The samples in viral transport media were tested by the Covid-19 testing team at NIH's Clinical Center, using conventional RNA extraction and RT-qPCR testing. The samples in the chelating-resin-buffer were heated and the viral RNA was, then, tested by RT-qPCR. The new preparation significantly increased the RNA yield available for testing, compared to the standard method.

Vaccine protection declining, suggest three CDC studies

 

The US Centers for Disease Control and Prevention (CDC) released three studies on that provided evidence that booster shots of the Pfizer-BioNTech and Moderna coronavirus vaccines would be needed by all Americans in the coming months. But some experts said the new research did not support the decision to recommend booster shots for all Americans.

 

Taken together, the studies show that although the vaccines remain highly effective against hospitalizations, the bulwark they provide against infection with the virus has weakened in the past few months. It's unclear whether the decline in protection against infection is the result of waning immunity, a drop in precautions like wearing masks, or the rise of the highly contagious Delta variant— or a combination of all three. “We are concerned that this pattern of decline we are seeing will continue in the months ahead, which could lead to reduced protection against severe disease, hospitalization and death.

 

Citing the data, federal health officials outlined a plan for Americans who received the two vaccines to get booster shots eight months after receiving their second doses, starting September 20.But some scientists were deeply sceptical of the new plan. These data support giving additional doses of vaccine to highly immunocompromised persons and nursing home residents, not to the general public.

 

Boosters would only be warranted if the vaccines were failing to prevent people from ending up hospitalized with Covid-19. Feeling sick like a dog and laid up in bed, but not in the hospital with severe Covid, is not a good enough reason.

 

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